go back

Montana rates for HCPCS 85246

Clotting; factor VIII, VW factor antigen

Facilitymedian $41 · 10th–90th $29–$1580%10%20%10th90th$41Professionalmedian $21 · 10th–90th $17–$850%20%40%10th90th$21$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $67.61 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $79.43 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $33.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $70.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $32.36